Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
663
Total Claims
$75K
Drug Cost
136
Beneficiaries
$550
Cost/Patient
Risk Score Breakdown 43/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+1631%
Opioid rate vs peers
44.6% vs 2.6% avg
-48%
Cost per patient vs peers
$550 vs $1,068 avg
+21%
Brand preference vs peers
10.9% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,631% above the average for Family Practice providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
44.6%
Opioid Rate
296
Opioid Claims
$32K
Opioid Cost
47.3%
Long-Acting Rate
This provider's opioid prescribing rate of 44.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 72 claims · $54K
Generic: 591 claims · $20K
Patient Profile
74
Avg Age
60%
Female
3.11
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About